Provider Demographics
NPI:1871151340
Name:I KARE HEALTHCARE SERVICES
Entity type:Organization
Organization Name:I KARE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:RAWLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-456-1139
Mailing Address - Street 1:1507 HARDY ST STE 207
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-4978
Mailing Address - Country:US
Mailing Address - Phone:601-602-4793
Mailing Address - Fax:601-602-4905
Practice Address - Street 1:1507 HARDY ST STE 207
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-4978
Practice Address - Country:US
Practice Address - Phone:601-602-4793
Practice Address - Fax:601-602-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care